Chain of custody form for asbestos air monitoring samples, undated

NYC 9/11 Public Portal Document

KAMtUNSULlANb CHAIN OF CUSTOM OR ASBESTOS AIR MONITORING 35-4036lhSlieel SAMPLING DATE: 22/ - / Z-c?/ Long Island Cily CLIENT: ^<2/4 New York, 11106 PROJECT; ADDRESS: -ro/z->Y Tel; (718)729-199/ 2:/zV 2^4-2^2 Fax: (718) 729-1576 FIELD DATA LAB ANALYSIS R W SAMPLE 2'/7r2 E O TIME TIME FLOW FLOW VOLUME FIBERS FIBERS CASSETTE dPlP-eP ' Q.^KQyy- A- ; BEF. AFTER PER PER LAB ID# ID# S R IN OUT (liters) 25MM 37MM (Ipm) (Ipn) FIELD CC P K /^C| oP s{i Testmethod: / /22^ IC U <0'0^ ( ,ZPC^ TEM 2 P/ti) _ePpl£a___lP^2^___________ J/IU X AC— tO/^ 22 to >o) 2- TURN-AROUND TIME: o *:'<-i-/c- 77/ Z),3?-/C £/^£— 7'^ /Ji Co-O) 3> Z 07 -37- X/Z)^ IMMEDIATE

12-HOUR sr 24-HOUR 6-. (a /c -k Pf&P .U /iv A£2 |3 22 Ce 'C\ 6 24-HOUR 1 iV /c? /c /S’ OTHER: f ap’/) z- Z<kx 1 /5 cc <<2-\£'7L <5 (O <C»- ANALYST: 2’ __________________________ Sz Z' vl-- L£ 7 L-. (c bis Z£ IP /C' (lap ^222 <»■ 0 \ If 24^6^7' re DATE OF ANALYSIS: K iTriJPi af/liJypc Xr/iP2i /K/4v g'’2 / 11'^ /P iP ,I -IS I2 / 2. A;/" a 2) til/J2- izo TIME OF ANALYSIS: 15

X J> o SAMPLE TYPE: A=BACKGROUND, fi^PREABATEMENT, C=DURING ABATEMENT, D=POSr-ABATEMENT 3 H K E=OUTSIDE WORK AREA, F=INS!DE WORK AREA, G-MICROTRAP EXHAUST DISCHARGE £3 H=DECONTAMINATION FACILITY I=CRIT1CAL BARRlER2i=OUTS!DE BLD^O^FIELD BLANK 2 2^ AIR QUALITY, M=COMPLIANCE MONITORING ' Vj c/»Fn I o TYPE < - RESPIRATORS T PE OI*WORK: 2 = HALF FACE, 2 = PAPR, 3 = TY ^E C, 4 = OTHER (Sr-ECIFY): 1= BLDG DECON, 2 = PLASTICIZING, 3 = GROSS REMOVAL. 4 = GLOVEBAG, 5 = CLEANING, >0 o 6 = ENCAPSULATION, 7 = DAGOL T. 6 = OTHER (SPECIFY): I PAGE / OF / o TECHNICIAN.TSZ ■ /iA /dz4'^<2 ROTAMETEP; O tn co co CHAIN RELINQUISHED BY: COMMENTS: RECEIVED AT LAB BY. O1\ OF METHODOF SHIPMENT: SAMPLE CONDI ITON UPON RECEIPT: on CUSTODY DATE/TIME: I iA rr/TIME: : s t )

NYC-WTC_000178173